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EMAIL AVAILABLE PHONE NUMBER AVAILABLE Pompano Beach, FLSUMMARYSeasoned professional with 21 years of customer service experience, adept at addressing customer needs and providing exceptional support. Skilled in coordinating services, handling high-volume calls, and resolving complex issues, with a background in healthcare and service coordination. Seeking a Remote Customer Service Representative role to leverage strong communication and problem-solving abilities. WORK EXPERIENCEHumanaRemote CSR Aug 2023 - Feb 2024 Multitask effectively efficiently to get necessary information from several systems. Triage contacts quickly and appropriately from healthcare physician offices, clinics and any other facilities or hospitals. Research and dissect complex claim issues and take appropriate eps to resolve identified issues to avoid repeat calls escalations and provider dissatifaction. Appleone Temp Agency Anthem Inc./ Simply Healthplans- Pompano Beach, FLRemote Customer Service Representative Oct 2021 - Feb 2022 Resolved post-enrollment coverage issues for consumers, facilitating eligibility appeals and providing guidance on insurance benefits, explanations of benefits (EOBs), and replacement of various insurance cards. Supported members in primary care physician (PCP) selection and verified network availability of healthcare providers, enhancing member satisfaction and service experience. Coordinated with third-party vendors to arrange member transportation and addressed grievances and complaints, ensuring comprehensive customer support and service delivery. John Knox Village Home Health Agency Pompano Beach, FL CNA/HHA Coordinator and Scheduling Jul 2021 - Aug 2021 Coordinated weekly schedules for Certified Nursing Assistants and Home Health Aides, ensuring adequate staffing levels to meet resident care needs. Facilitated short-term assistance for residents by allocating CNA/HHA aides as required for temporary support. Managed incoming referrals, verified complete documentation, and prioritized requests to comply with service level agreements and timely care delivery.Kforce Temp Agency Inktel Contact Center Solutions - Pompano Beach, FLCustomer Service Representative Jan 2021 - Jun 2021 Addressed customer inquiries and provided comprehensive product information, contributing to the maintenance of high service standards. Employed effective communication strategies to de-escalate customer concerns, ensuring satisfactory resolutions. Upheld extensive knowledge of company products to consistently deliver informed and reliable support. State of Florida DEO Unemployment Pompano Beach, FL Customer Service Representative/Call Center Agent May 2020 - Jan 2021 Provided comprehensive support to clients seeking unemployment benefits, ensuring accurate data entry in compliance with HIPAA regulations. Resolved account access issues by assisting with account unlocks and PIN resets, enhancing customer satisfaction. Delivered personalized assistance for a variety of inquiries, demonstrating a commitment to exceptional service and problem resolution.Nationwide Move Management Pompano Beach, FLCustomer Service Representative Jan 2020 - May 2020 Provided comprehensive support to customers by determining appropriate pricing and vehicle selection for global relocation needs, ensuring tailored solutions for each move. Maintained effective communication with third-party drivers and dispatch teams to address and resolve delivery delays, successfully facilitating the recovery of misplaced items and aiding customers with necessary documentation.Broward County School Board Pompano Beach, FLCustomer Service Representative Temporary Aug 2019 - Nov 2019 Addressed and resolved inquiries from parents and school officials concerning late or absent school buses, ensuring timely and effective communication. Supported Transportation Specialists with daily operational tasks, including calculating and reporting student AM/PM numbers. Facilitated bus drivers' daily routines by distributing keys and necessary paperwork, contributing to the smooth operation of transportation services.MSC Cruises Fort Lauderdale, FLBooking Agent Nov 2018 - Mar 2019 Managed the reservation process for cruise accommodations, ensuring a seamless booking experience and maintaining high levels of customer satisfaction. Coordinated with travel agents to verify travel details, contributing to streamlined travel arrangements and itinerary confirmations for clients.Broward County Elderly & Veterans Services Plantation, FL Office Support Specialist Jan 2017 - Jul 2018 Managed inbound communication, discerning client needs for accurate case manager assignment and initiating application processes, while ensuring confidentiality of sensitive information. Developed and maintained organizational systems for case files and records across multiple databases, enhancing information retrieval and workflow tracking. Provided client education on community resources and assistance programs, and prepared comprehensive informational material for distribution.Staffing Agency Employment Broward County, FLOffice Support & Customer Service Contracts Nov 2014 - Mar 2016 Managed a diverse range of administrative tasks, including file organization at a county courthouse, ensuring the efficient handling and confidentiality of legal documents. Executed accurate billing, coding, and data entry operations, maintaining high standards of precision and data integrity across multiple assignments.First Choice Laboratory Oakland Park, FLReceptionist Mar 2014 - Nov 2014 Managed a comprehensive customer database, ensuring timely prescription refills and accurate confirmation of shipment deliveries and volumes. Facilitated pharmaceutical representatives' supply orders by coordinating shipment tracking and processing outbound delivery tickets via Fed-Ex, while delivering professional customer service through efficient call handling and departmental transfers.Coral Ridge Outpatient Center Oakland Park, FLSurgery Scheduler Jan 2009 - Jun 2013 Coordinated daily surgery schedules by aligning physician availability with facility operations, ensuring efficient workflow and resource utilization. Facilitated communication by distributing surgery schedules to relevant medical staff and securing procedure approvals from health insurers. Provided patient support by addressing inquiries related to facility operations, billing issues, and collecting copayments, while maintaining accurate patient records. Broward Surgical Associates Fort Lauderdale, FLHealth Unit Coordinator Dec 2006 - Jun 2008 Coordinated patient check-ins and check-outs, managed appointment scheduling, and facilitated prescription processing. Maintained financial responsibility by opening the facility and reconciling cash drawers and account balances, in addition to verifying patient insurance coverage.Broward General Hospital Fort Lauderdale, FLHealth Unit Coordinator Nov 1997 - Dec 2006 Coordinated provider schedules and managed the documentation and distribution of daily surgery schedules to ensure seamless operation of surgical services. Maintained inventory controls, ordering and restocking office and surgical supplies to support hospital operations effectively. Facilitated patient care by processing lab work orders and prescriptions, and provided administrative support to the anesthesiology department through insurance verification tasks. EDUCATIONEly High SchoolDiplomaPompano Beach, FLJun 1993SKILLSCustomer Care Customer Service Call Center CSR Customer Support Schedule Appointments Scheduling Sx for Multiple Surgeons Calling in Medication for Patients Medical Office Experience Insurance Verification Medical Coding Medical Scheduling Medical Terminology Medical Billing Medical Receptionist CPT Coding Icd-10 Word Processing Medical Records Computer Operation EMR Systems Hospital Experience Laboratory Experience Phone Etiquette Filing Intake Hipaa Icd-9 ICD Coding Patient Care Transcription Environmental Services Bus Driving QuickBooks Anatomy Knowledge Office Experience Front Desk |